JACQUELYN L FENTRESS Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049123153

License Status

NOT RENEWED

Business

First Name

JACQUELYN

Middle

Last Name

FENTRESS

Business Name

JACQUELYN L FENTRESS

Original Issue Date

10/07/1998

Effective Date

10/07/1998

Expiration Date

03/31/2002

City

HAMMOND

State

Zip

46324

County

INDIANA

Ever Disciplined

LastModifiedDate

12/06/2005